The Influence of Therapeutic Group Therapy (TKT), Health Education and Thought Stoping (TS) on the Anxiety Level of Children’s Anxiety Levels at Menarche

  • Usraleli Usraleli Poltekkes Kemenkes Riau, Pekanbaru, Indonesia
  • Erni Forwaty Poltekkes Kemenkes Riau, Pekanbaru, Indonesia
  • Syafrisar Meri Agritubella Poltekkes Kemenkes Riau, Pekanbaru, Indonesia
Keywords: Therapeutic Group Therapy (TGT), Health Education, Thought Stopping (TS)

Abstract

Menarche is a sign of the beginning of the stage of maturity in girls. Children can experience emotional changes in the form of anxiety caused by bullying behavior when menstrual blood gets on clothes so that children feel embarrassed. This study aims to see the effect of Therapeutic Group Therapy (TKT), Health Education, Thought Stopping (TS) on school-age children's anxiety in facing menarche. This research is a quasy experiment with the Pre and Post Test approach. The number of samples in this study were 50 grade 4 students at SDN 176 Pekanbaru. Bivariate analysis using the Wilcoxon test. The results showed that most of the respondents were 11 years old (64%). The Pre-test anxiety level was in the Moderate category, there were 20 students (40%), the Post-test Anxiety Level in the Mild category, there were 36 students (72%). The results of the Bivariate Analysis obtained an anxiety level Z value of -3.5 (P-value 0.000). The application of TKT, Health Education, and TS can overcome anxiety about menarche. In conclusion, there is a decrease in the level of anxiety in facing menarche after the TKT, Health Education and TS actions.

References

S. Sudikno and S. Sandjaja, “Usia Menarche Perempuan Indonesia Semakin Muda: Hasil Analisis Riskesdas 2010,” J. Kesehat. Reproduksi, vol. 10, no. 2, pp. 163–171, 2020, doi: 10.22435/kespro.v10i2.2568.

B. Ramraj, V. M. Subramanian, and V. G, “Study on age of menarche between generations and the factors associated with it,” Clin. Epidemiol. Glob. Heal., vol. 11, p. 100758, 2021, doi: https://doi.org/10.1016/j.cegh.2021.100758.

I. Markevych et al., “Residential green space and age at menarche in German and Australian adolescent girls: A longitudinal study,” Int. J. Hyg. Environ. Health, vol. 240, p. 113917, 2022, doi: https://doi.org/10.1016/j.ijheh.2021.113917.

L. Tondo, M. Pinna, G. Serra, L. De Chiara, and R. J. Baldessarini, “Age at menarche predicts age at onset of major affective and anxiety disorders,” Eur. Psychiatry, vol. 39, pp. 80–85, 2017, doi: https://doi.org/10.1016/j.eurpsy.2016.08.001.

C. C. Anikwe, J. E. Mamah, B. C. Okorochukwu, U. U. Nnadozie, C. H. Obarezi, and K. C. Ekwedigwe, “Age at menarche, menstrual characteristics, and its associated morbidities among secondary school students in Abakaliki, southeast Nigeria,” Heliyon, vol. 6, no. 5, p. e04018, 2020, doi: https://doi.org/10.1016/j.heliyon.2020.e04018.

T. S. Chairunisa, F. Fujiana, and D. Priyono, “Studi Fenomenologi : Perubahan Setelah Menarche yang Dialami oleh Anak Perempuan Usia Sekolah di Kota Pontianak,” Nurs. Curr., vol. 10, no. 1, pp. 32–40, 2022.

S. E. Syarif, D. T. Mau, and C. Anugrahini, “Gambaran Tingkat Kecemasan Remaja Putri Dalam Menghadapi Haid Pertama Kali (Menarche) Pada Siswi Kelas Vii Smp Negeri 1 Atambua,” J. Sahabat Keperawatan, vol. 2, no. 02, pp. 13–17, 2020, doi: 10.32938/jsk.v2i02.628.

R. Hirtz et al., “Age at menarche relates to depression in adolescent girls: Comparing a clinical sample to the general pediatric population,” J. Affect. Disord., vol. 318, pp. 103–112, 2022, doi: https://doi.org/10.1016/j.jad.2022.08.092.

N. A. Zam and Z. N. Mia, “Pengaruh Dukungan Keluarga Terhadap Tingkat Kecemasan Pada Remaja yang Mengalami Bullying The Effect of Family Support on Anxiety Levels in Teenagers Experience Bullying,” J. Ilm. Kesehat. Masy., vol. 13, p. 2021, 2020.

P. Muhopilah and F. Tentama, “Faktor Yang Mempengaruhi Bullying,” J. Psikol. Terap. dan Pendidik., vol. 1, no. 2, pp. 99–107, 2019.

C. Cleodora, Mustikasari, and D. Gayatri, “Therapeutic group therapy improved self-efficacy of school age children,” Enfermería Clínica, vol. 28, pp. 112–115, 2018, doi: https://doi.org/10.1016/S1130-8621(18)30048-2.

J. H. Park, J. Y. Kim, and H. O. Kim, “Effects of a group poetry therapy program on stress, anxiety, ego-resilience, and psychological well-being of nursing students,” Arch. Psychiatr. Nurs., vol. 41, pp. 144–152, 2022, doi: https://doi.org/10.1016/j.apnu.2022.07.027.

J. Yoost, M. Ruley, and L. Durfee, “Acceptability of a Comprehensive Sex Education Self-Study Website for Teaching Reproductive Health: A Pilot Study Among College Students and Obstetrics and Gynecology Resident Physicians,” Sex. Med., vol. 9, no. 1, p. 100302, 2021, doi: https://doi.org/10.1016/j.esxm.2020.100302.

Y. A. Hardayati, Mustikasari, and R. U. Panjaitan, “The effects of thought stopping on anxiety levels in adolescents living in earthquake-prone areas,” Enfermería Clínica, vol. 31, pp. S395–S399, 2021, doi: https://doi.org/10.1016/j.enfcli.2021.01.001.

D. R. Abadi, A. P. Dewi, and S. Nuschayati, “Hubungan Dukungan Keluarga dengan Tingkat Kecemasan Remaja Putri dalam Menghadapi Menarche,” JOM, vol. 2, no. 2, 2015.

L. PH, N. Indrayati, and E. Yuliyanti, “Gambaran Tingkat Ansietas Anak Usia Sekolah Saat Mengalami Menarche,” J. Kesehat., vol. 12, no. 2, p. 146, 2019, doi: 10.24252/kesehatan.v12i2.10295.

W. Pujiati, Ernawati, and Daratullalla, “Pendidikan Kesehatan tentang Menstruasi terhadap Tingkat Kecemasan Menghadapi Menarche pada Siswi Sekolah Dasar,” vol. 13, no. 1, pp. 50–58, 2019, doi: http://dx.doi.org/10.30595/medisains.v13i1.1829.

L. R. Kholil, Kesehatan Mental. Purwokerto: Fajar Media Press, 2010.

F. U. Mutasya, E. Edison, and H. Hasyim, “Faktor-Faktor yang Berhubungan dengan Usia Menarche Siswi SMP Adabiah,” J. Kesehat. Andalas, vol. 5, no. 1, pp. 233–237, 2016, doi: 10.25077/jka.v5i1.475.

A. Andri and Y. D. Purnamawati, “Teori Kecemasan Berdasarkan Psikoanalisis Klasik dan Berbagai Mekanisme Pertahanan terhadap Kecemasan,” Maj. Kedokt. Indones., vol. 57, no. 7, pp. 233–238, 2007

Published
2023-06-26
How to Cite
Usraleli, U., Forwaty, E., & Agritubella, S. (2023). The Influence of Therapeutic Group Therapy (TKT), Health Education and Thought Stoping (TS) on the Anxiety Level of Children’s Anxiety Levels at Menarche. JPK : Jurnal Proteksi Kesehatan, 12(1), 35-40. https://doi.org/10.36929/jpk.v12i1.637